Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics |
NPI | 1346736956 |
---|---|
Provider Name | Katherine Klausmeyer |
First Address | Wichita, KS 67212-1265 |
Second Address | Wichita, KS 67212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2018 |
Last Update Date | 31/07/2018 |